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Kyle Herald, PA-C
NPI 1710238266 · on the registry since 2012
Practice
- Address
- 1065 Ashley St
Bowling Green, KY 42103 - Phone
- (270) 781-5111
- Fax
- (270) 780-0496
- Organisation at this address
- Clubmd, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky